A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?

"I should monitor for Cushing's symptoms during the withdrawal process."

"Once I am off of the steroids, I should never take them again."

"I should not try to taper off the medication without consulting my provider."

"I should reduce the dose by half each day until I am at 5mg, then I can stop the medication."

Answer and Explanation

The Correct Answer is C

a) Monitoring for Cushing's symptoms is important, but it is not a statement indicating a good understanding of the withdrawal process from glucocorticoids.

b) Telling the client to never take steroids again is an overly generalized statement and does not reflect a nuanced understanding of the medication.

c) Not attempting to taper off the medication without consulting the provider is the correct approach. Abrupt discontinuation can lead to adrenal insufficiency, and the tapering schedule should be individualized.

d) Reducing the dose by half each day without proper guidance may result in withdrawal symptoms and is not a recommended strategy.

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Correct Answer is D

Explanation

A) Omeprazole should not be chewed; it is usually taken whole with a glass of water.

B) Taking omeprazole with an antacid may alter its absorption and effectiveness; they should be taken separately.

C) While long-term use may be necessary in some cases, the statement doesn't reflect a proper understanding of the timing of administration.

D) Omeprazole is most effective when taken on an empty stomach, usually 30 to 60 minutes before a meal.

A. "Take the digoxin at bedtime." B. "Eat a diet high in bran, fiber, and calcium." C. "You must be able to check your pulse." D. "Don't take digoxin if your heart rate exceeds 90 beats per minute."

Correct Answer is C

Explanation

a) Taking digoxin at bedtime is not a critical instruction. The important aspect is to take it consistently at the same time each day.

b) A diet high in bran, fiber, and calcium is not specifically related to digoxin administration. Digoxin has specific dietary considerations related to potassium levels.

c) Checking the pulse is crucial for a client taking digoxin, as it helps monitor for potential toxicity. Digoxin can cause bradycardia, and the pulse rate is an essential parameter to assess before administering each dose.

d) While monitoring the heart rate is important, setting a specific threshold (e.g., not taking digoxin if the heart rate exceeds 90 beats per minute) is not a standard recommendation. It's generally more nuanced and individualized.

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A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client regarding the use of omeprazole. What statement by the client shows a proper understanding of how to take this medication?

Correct Answer is D

Explanation

What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily?

Correct Answer is C

Explanation

A nurse is giving discharge instructions to a client who is beginning theophylline. The nurse should tell the client that this medication might cause which of the following adverse effects?

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